Skin Cancer – Patient 193

A woman in her early 80’s with a basal cell carcinoma of her left ala. The ala can be a challenging area to reconstruct and typically requires several stages. She had a first stage with a nasolabial pedicle flap and ear cartilage graft. She returned to have this divided 4 weeks later. A second stage to better refine the flap contour was performed 9 months later. She is shown before, just after Moh’s excision and again, 5 months after her final procedure.